| NPI | 1306057229 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE LEICHT Administrator 858-974-5962 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336I0012X Pharmacy, Institutional Pharmacy (Licence: CA BD7140128) |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2020-08-22 |